§ Motion to Modify Child Support
Motion to Modify Child Support
[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]
In what Missouri county was the In the Circuit Court of
judgment you want to modify entered? MISSOURI
What is the case number of the judgment you want
to modify?
Case Number Division Number
Answer all questions on this form completely.
Your 1. My current full name is:
Information ______________ ______________ ________________ ___________
(First Name) (Middle Name) (Last Name) (Jr./Sr./III)
2. [ ] I filed the original case. (Petitioner/Plaintiff)
[ ] I did not file the original case. (Respondent/Defendant)
3. [ ] I am the Mother
[ ] I am the Father
4. The last four numbers of my Social Security Number are: XXX-XX-
__________________________________________________________
5. My mailing address is:
________________________________________________________
(Street)
______________________________ _______________ __________
(City) (State) (Zip)
_____________________________ ____________________________
(Telephone Number) (E-Mail Address)
Other Party's 6. The current full name of the other party is:
Information ______________ ______________ ________________ ___________
(First Name) (Middle Name) (Last Name) (Jr./Sr./III)
7. The last four numbers of the other party's Social Security Number are:
XXX-XX-__________
8. The other party's mailing address is:
__________________________________________________________
(Street)
______________________________ _______________ __________
(City) (State) (Zip)
_____________________________ ____________________________
(Telephone Number) (E-Mail Address)
Motion to Modify Child Support--Page 1 of 5
Form CAFC102-7/1/
2010 This form is available for free at www.selfrepresent.mo.gov
Service Information 9. [ ] The other party has signed a verified “Answer to Motion to Modify” which is being filed with
this motion. Therefore, do not issue a summons.
[ ] The other party should be served at his or her residence.
__________________________________________________________
(Street)
_____________________ _____________ _____________________
(City) (State) (Zip)
[ ] The other party should be served at his or her place of employment.
____________________________________ _____________________
(Employer's Name--if applicable) (Hours of Employment)
__________________________________________________________
(Street)
_____________________ _____________ ______________________
(City) (State) (Zip)
[ ] Other method of service:
__________________________________________________________
10. [ ] No one is receiving receiving Temporary Assistance for Needy Families (TANF) for the
child(ren).
[ ] A person is receiving TANF for the child(ren) and therefore the State of Missouri must be
served. Summons to issue to be served on:
Director, Family Support Division
615 Howerton Court
Jefferson City, Missouri 65102
Case 11. The judgment I want to change was entered on
__________________________________________________________.
Information (MM/DD/YYYY)
12. [ ] I was ordered to pay child support to the other party.
[ ] The other party was ordered to pay child support to me.
[ ] We both were ordered to pay child support.
[ ] No child support was ordered by the court.
13. [ ] All child support ordered by the court has been paid.
[ ] All child support ordered by the court has not been paid.
14. The child support judgment that I want to modify is:
[ ] A dissolution of marriage or legal separation judgment.
[ ] A paternity judgment entered by a court.
[ ] A custody and support judgment entered by a court.
[ ] A judgment modifying a previous dissolution of marriage or legal separation judgment.
[ ] A judgment modifying a previous paternity judgment.
[ ] A judgment modifying a previous custody and judgment.
[ ] Other _______________________________________________________
(Explain)
Note: You cannot use this form to modify an administrative order that was originally entered by
Missouri Family Support Division.
Motion to Modify Child Support--Page 2 of 5
Form CAFC102-7/1/ This form is available for free at www.selfrepresent.mo.gov
2010
Military Information 15. [ ] The other party is NOT on active duty in the United States military.
[ ] The other party is on active duty in the United States military.
Employment 16. [ ] I am self-employed
Information [ ] I am unemployed
[ ] I am employed at:
__________________________________________________________
(Name of Employer)
__________________________________________________________
(Street)
______________________________ _____________ ____________
(City) (State) (Zip)
17. [ ] The other party is self-employed
[ ] The other party is unemployed
[ ] I don't know the other party's employment status
[ ] The other party is employed at:
__________________________________________________________
(Name of Employer)
__________________________________________________________
(Street)
______________________________ ____________ ____________
(City) (State) (Zip)
Children's Information 18. There is/are __________ child(ren) who is/are the subject of this proceeding as listed below.
Child's Full Name Child's Age
Motion to Modify Child Support--Page 3 of 5
Form CAFC102-7/1/ This form is available for free at www.selfrepresent.mo.gov
2010
Changes affecting
Support
19. What has changed since the last child support judgment that would justify a different amount of
child support?
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Proposed Parenting
Plan
20. The appropriate child support arrangement for the minor children is set forth in Part B of the
attached parenting plan marked Exhibit 1. (You must attach a completed copy of Parenting Plan Form
CAFC501 Part B to this motion.)
Request for Relief THEREFORE, I want to change the previous judgment concerning child support as per Part B of the
attached parenting plan marked Exhibit 1.
I also request the following relief:
[ ] I am without sufficient funds to pay for my attorney and I request that the other party pay
my attorney's fees for this case.
[ ] Other (Please state the other requests)
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Motion to Modify Child Support--Page 4 of 5
Form CAFC102-7/1/ This form is available for free at www.selfrepresent.mo.gov
2010
[ ] Petitioner/Plaintiff [ ] Respondent/Defendant, of lawful age, being duly sworn on his or her oath, states that he or she is theparty named above and that the facts stated in this Motion to Modify Child Support are true according to his or her best knowledge and belief.
_____________________________________________ ___________________________
SIGN HERE (Sign this in front of a Notary Public) PRINT YOUR NAME HERE
Subscribed and sworn to this _____ day of __________, 20 ___.
_________________________________________________
Notary Public
My Commission Expires:
_________________________________________________
ATTORNEY INFORMATION (To be completed by your attorney) Do not enter any information here if
you are filing this case
____________________________ ____________________
without the assistance of
Attorney--SIGN HERE Missouri Bar Number a lawyer.
__________________________________________________ This information should be
Attorney for Movant--PRINT YOUR NAME HERE completed by your attorney.
__________________________________________________
(Street)
_______________________________ ___________ _____ [ ] I have assisted the above
(City) (State) (Zip) named party in the preparation
of these pleadings, but I am
________________ ____________ ___________________ not entering my appearance on
(Telephone Number) (Fax Number) (Email Address) his or her behalf.
Motion to Modify Child Support--Page 5 of 5
Form CAFC102-7/1/ This form is available for free at www.selfrepresent.mo.gov
2010
[ ] Petitioner/Plaintiff [ ] Respondent/Defendant, of lawful age, being duly sworn on his or her oath, states that he or she is the party named above and that the facts stated in this Motion to Modify Child Support are true according to his or her best knowledge and belief.
_____________________________________________ ___________________________
SIGN HERE (Sign this in front of a Notary Public) PRINT YOUR NAME HERE
Subscribed and sworn to this _____ day of __________, 20 ___.
_________________________________________________
Notary Public
My Commission Expires:
_________________________________________________
ATTORNEY INFORMATION (To be completed by your attorney) Do not enter any information here if
you
are filing this case
____________________________ ____________________ without the assistance of
Attorney--SIGN HERE Missouri Bar Number a lawyer.
__________________________________________________ This information should be
Attorney for Movant--PRINT YOUR NAME HERE completed by your attorney.
__________________________________________________
(Street)
_______________________________ ___________ _____ [ ] I have assisted the above
(City) (State) (Zip) named party in the preparation
of these pleadings, but I am
________________ ____________ ___________________ not entering my appearance on
(Telephone Number) (Fax Number) (Email Address) his or her behalf.
Motion to Modify Child Support--Page 5 of 5
Form CAFC102-7/1/ This form is available for free at www.selfrepresent.mo.gov
2010
[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]